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0 | Malignant fibrous histiocytoma of bone: a retrospective EMSOS study of 125 cases. European Musculo-Skeletal Oncology Society | MSTS 2022 - Metastatic Disease of the Humerus | In an effort to learn more about malignant fibrous histiocytoma (MFH) of bone and its prognosis with different treatment approaches, the European Musculo-Skeletal Oncology Society (EMSOS) initiated a retrospective survey among its members. Data requested included patient and treatment variables and outcome. The informa... |
0 | Uremic polyneuropathy-diagnosis and therapy of pain | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Uremic polyneuropathy (UP), with axonal degeneration and segmental demyelination, is a well known cause of disability in uremic patients. Objectives: To asses the impact of peritoneal dialysis (PD) and haemodialysis (HD) on peripheral nerves injury in UP patients and the effect of different therapies on n... |
0 | Novel spedi block (single penetration dual injection) block for below the knee surgery | Surgical Management of Osteoarthritis of the Knee CPG | Background and Objectives:: We describe a novel ultrasound-guided approach blocking the sciatic and saphenous nerves in the proximal thigh (at level of the lesser trochanter or immediately below) utilizing a singlepenetration dual-injection (SPEDI) technique. The popliteal-sciatic approach necessitates re-positioning o... |
0 | Staying Out of Trouble Performing Intramedullary Nailing of Forearm Fractures | DOD - Acute Comp Syndrome CPG | Pediatric diaphyseal forearm fractures occur commonly and often require reduction with stabilization. Intramedullary flexible nails provide an effective method for stabilizing and maintaining reduction of these fractures. There are a few specific technical pearls that can be implemented to improve efficiency of nail pl... |
0 | Raised cortisol:DHEAS ratios in the elderly after injury: potential impact upon neutrophil function and immunity | Management of Hip Fractures in the Elderly | The detrimental effect of stress on the immune response increases with age, though the mechanisms responsible are not fully understood. The physiological response to stress is regulated in part by the adrenocortical system. Adrenal hormones dehydroepiandrosterone sulphate (DHEAS) and cortisol have opposing effects on t... |
0 | Polyvinyl alcohol hydrogel irradiated and acetalized for osteochondral defect repair: mechanical, chemical, and histological evaluation after implantation in rat knees | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Polyvinyl Alcohol (PVA) hydrogel plugs were implanted in artificial osteochondral defects on the trochlear groove of rat knees. After 0, 3, 6, 12, and 24 weeks of followup, samples containing the implants were mechanically evaluated by creep indentation test, chemically, and histologically by optical microscopy. The me... |
0 | Drug-related falls in the older adult | Management of Hip Fractures in the Elderly | The objective of this article was to review the recent literature (1990- 1995) on drags and falls in the older population. A computerized literature search identified 19 research articles. The quality of each study was critically evaluated, and a consistent risk relationship between the use of psychotropic drugs and fa... |
0 | Patients with Systemic Lupus Erythematosus Have Increased Risk of Short-term Adverse Events after Total Hip Arthroplasty | AAHKS (2) Corticosteroids | OBJECTIVE: Total hip arthroplasty (THA) is performed more frequently in patients with systemic lupus erythematosus (SLE) than in the general population. However, whether patients with SLE have higher complication rates than patients with osteoarthritis (OA) is unknown. This study compares adverse events (AE) in SLE wit... |
0 | Compression of the median nerve in CTS is mediated by periods of acute synovial swelling | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Tolerance of neural tissue to external compression has been shown to depend on several factors. The mechanism by which acute compression alters peripheral nerve conduction is not completely understood. Ischemic and mechanical factors have alternatively been implicated as the primary causes of nerve dysfunction in compr... |
0 | Risk factors contributing to the development of hypocalcemia after zoledronic acid administration in patients with bone metastases of solid tumor | MSTS 2018 - Femur Mets and MM | Zoledronic acid (ZDA) is commonly prescribed to treat and prevent skeletal complications in patients with multiple myeloma or bone metastases. Although hypocalcemia often develops by ZDA, there is little information about the risk factors for hypocalcemia mediated by ZDA. This study was conducted to assess the risk of ... |
0 | Predicting injuries of women in episodes of intimate partner violence: Individual and composite risk factors | DoD PRF (Psychosocial RF) | This article examines incidents of intimate partner violence (IPV). The study involved a large sample of female victims and male perpetrators of IPV from Framingham, Massachusetts, just west of Boston. Physical injuries to IPV victims, which are sometimes serious and can be a harbinger of intimate partner homicide, wer... |
0 | Deltoid muscle activity in patients with reverse shoulder prosthesis at 2-year follow-up | Glenohumeral Joint OA | PURPOSE: The reverse shoulder prosthesis (RSP) was developed to relieve pain and improve functional outcomes in patients with glenohumeral arthritis and deficiency of the rotator cuff. Even if clinical and functional outcomes regarding the use of the RSP were reported by literature, data concerning progressive deltoid ... |
0 | A morphovolumetric study of head malposition in proximal humeral fractures based on 3-dimensional computed tomography scans: the control volume theory | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: This study regards a volumetric analysis of proximal humeral fractures. The main purpose was to investigate the head displacement in relation to the shaft and its link to volume reductions ("bone loss") of the anatomic segments interposed between the head and the shaft: the tuberosities and the calcar. We c... |
1 | Implants For Extracapsular Neck Of Femur Fracture Dynamic Hip Screw Versus Intramedullary Nailing | Hip Fx in the Elderly 2019 | Neck of femur fractures are the most prevalent type of injury in elderly trauma patients. Both intra and extra capsular type of fractures are equally distributed in the given population. Traditionally, Extra capsular fractures are fixed with Dynamic Hip screw or Intra medullary nailing based on the type of fracture. NI... |
0 | Degenerate neuronal systems sustaining cognitive functions | DoD PRF (Psychosocial RF) | The remarkable resilience of cognitive functions to focal brain damage suggests that multiple degenerate neuronal systems can sustain the same function either via similar mechanisms or by implementing different cognitive strategies. In degenerate functional neuroanatomy, multiple degenerate neuronal systems might be pr... |
0 | Prevalence and pattern of traumatic limb amputations in female population of Bhimber District, Azad Jammu and Kashmir, Pakistan | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: Traumatic limb amputations (TLA) are structural defects that cause mild-to-severe disabilities and have significant impact on the quality of life of subjects. A recent epidemiological study in Bhimber District, AJK, Pakistan, revealed that TLA had a very high incidence among the young/adult females. The pres... |
0 | Management of infected charcot neuroarthropathy due to diabetes mellitus with half pins external fixator and pinning: A case series | DoD SSI (Surgical Site Infections) | BACKGROUND: Charcot neuroarthropathy (CN) of the foot and ankle, which is complicated with infection, is debilitating disease and presents challenges until now. External fixation with half-pins is useful as provisional treatment. AIM: The purpose of this retrospective case series is to summarize the patient characteris... |
0 | Breast enlargement after liposuction: comparison of incidence between power liposuction versus traditional liposuction | Panniculectomy & Abdominoplasty CPG | BACKGROUND: We previously reported that a significant percentage of patients who underwent power liposuction noted an increase in their breast size. OBJECTIVE: To determine whether the documented observation of breast enlargement after power liposuction also occurs after traditional liposuction. METHODS: Charts were re... |
0 | Amelioration of osteoporosis and hypovitaminosis D by sunlight exposure in Parkinson's disease | Management of Hip Fractures in the Elderly | A high incidence of fractures, particularly of the hip, represents an important problem in patients with Parkinson's disease (PD), who are prone to falls and have osteoporosis. We previously showed that 25-hydroxyvitamin D (25-OHD) deficiency due to sunlight deprivation with compensatory hyperparathyroidism causes redu... |
0 | Relation of meniscus pathology to prevalence and worsening of patellofemoral joint osteoarthritis: the Multicenter Osteoarthritis Study | OAK 3 - Non-arthroplasty tx of OAK | Objective: To determine the relationship of meniscal damage to magnetic resonance imaging (MRI) features of compartment-specific patellofemoral joint (PFJ) osteoarthritis (OA) at baseline and 2 years later. Method: Individuals from a prospective cohort of individuals aged 50â??79 with or at risk of knee OA were include... |
0 | Management of civilian ballistic fractures | DoD SSI (Surgical Site Infections) | INTRODUCTION: The management of ballistic fractures, which are open fractures, has often been studied in wartime and has benefited from the principles of military surgery with debridement and lavage, and the use of external fixation for bone stabilization.
HYPOTHESIS: In civilian practice, bone stabilization of these f... |
1 | Practitioners specialized in oral health and coronavirus disease 2019: Professional guidelines from the French society of stomatology, maxillofacial surgery and oral surgery, to form a common front against the infectious risk | Coronavirus Disease 2019 (COVID-19) | Medical as well as non-medical practitioners specialized in oral health are at high risk of infection with the Coronavirus-19 (Covid-19) because of the proximity with potentially infected biological fluids. This risk is permanent, especially during examination, care and transfer of patients. Regarding the pandemic prog... |
0 | Stepwise transversus abdominis muscle release for the treatment of complex bilateral subcostal incisional hernias | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Management of subcostal incisional hernias is particularly complicated due to their proximity to the costochondral limits in addition to the lack of aponeurosis on the lateral side of the abdomen. We present our results of posterior component separation through the same previous incision as a safe and repro... |
0 | High-dose calcitriol and carboplatin in metastatic androgen-independent prostate cancer | MSTS 2018 - Femur Mets and MM | Calcitriol acts synergistically with carboplatin in preclinical models of adenocarcinoma of the prostate. The authors sought to test high-dose oral calcitriol in combination with carboplatin in patients with metastatic androgen-independent prostate cancer. Seventeen patients received oral calcitriol (0.5 microg/kg) on ... |
0 | Direct hospital cost determinants following hip and knee arthroplasty | PJI DX Updated Search | OBJECTIVE: Total joint arthroplasty (TJA) places a significant economic burden on health care resources. This cohort study examines the costs associated with arthroplasty in 827 patients undergoing hip and knee TJA from January 2011 to June 2012 at a single center in Melbourne, Australia. METHODS: Data included total i... |
0 | Efficacy of bisphosphonates in reducing skeletal events in patients with multiple myeloma | MSTS 2018 - Femur Mets and MM | Objective To review the efficacy of bisphosphonates in reducing skeletal events in patients with multiple myeloma. Methods Two hundred and five patients with newly diagnosed MM were enrolled in this retrospective study, with bisphosphonates or not. Skeletal-related events, therapeutic reaction of myeloma bone disease a... |
0 | The optimal recording electrode configuration for compound sensory action potentials | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | There is no uniformity in the published literature from different laboratories on the optimal electrode configuration for recording nerve action potentials, and a number of standard texts omit any reference to the effects that interelectrode distance and electrode orientation can have on the shape, amplitude and latenc... |
0 | Open-wedge osteotomy of the proximal tibia with hemicallotasis | Surgical Management of Osteoarthritis of the Knee CPG | Conventional high tibial osteotomy for losteoarthritis of the medial compartment of the knee with closed-wedge or dome osteotomy (DMO) may produce shortening of the patellar tendon and loss of inclination of the proximal tibial plateau or of the offset of the tibial condyle relative to its bony axis. This can make subs... |
1 | Risk factors for carpal tunnel syndrome related to the work organization: a prospective surveillance study in a large working population | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The study aimed to determine the risk factors for incident carpal tunnel syndrome (CTS) in a large working population, with a special focus on factors related to work organization. In 2002-2005, 3710 workers were assessed and, in 2007-2010, 1611 were re-examined. At baseline all completed a self-administered questionna... |
0 | Treatment of deep infection of the hip associated with massive bone loss | Management of Hip Fractures in the Elderly | We have carried out in 24 patients, a two-stage revision arthroplasty of the hip for infection with massive bone loss. We used a custom-made, antibiotic-loaded cement prosthesis as an interim spacer. Fifteen patients had acetabular deficiencies, eight had segmental femoral bone loss and one had a combined defect. There... |
0 | Primary Proximal femur replacement for unstable osteoporotic intertrochanteric and subtrochanteric fractures in the elderly: A retrospective case series | Hip Fx in the Elderly 2019 | Background: Hip fractures usually occur in old aged patients with osteoporotic bone. Management of hip fractures in old aged patient is aimed to ambulate patient immediately and to restore the pre-operative ambulation. Proximal femur replacement is an effective treatment option in elderly patient with osteoporotic bone... |
0 | Intraosseous vascular access is safe, effective and costs less than central venous catheters for patients in the hospital setting | DOD - Acute Comp Syndrome CPG | Purpose: Central venous catheters (CVCs) are often placed to resuscitate unstable emergency department (ED) patients. In an observational study, we assessed intraosseous (IO) vascular access in the hospital, and compared results to published experiences with CVC placement. Methods: Patients who would typically receive ... |
0 | Evaluation of posterior lateral femoral condylar hypoplasia using axial MRI images in patients with complete discoid meniscus | AMP (Acute Meniscal Pathology) | PURPOSE: Hypoplasia of the lateral femoral condyle has been reported in discoid lateral meniscus patients, but associated imaging findings in the axial plane have not been characterized. In this study, we aimed to identify differences in the lateral femoral condyle between patients with discoid lateral meniscus and tho... |
0 | Giant cell tumor of bone: Is curettage the answer? | Distal Radius Fractures | BACKGROUND: Giant cell tumors (GCT) are neoplasms of mesenchymal stromal cells with varied manifestations. There is no uniform accepted treatment protocol for these tumors
MATERIALS AND METHODS: 49 cases of proven giant cell tumors of appendicular skeleton, 27 prospective and 22 retrospective constituteed this study. T... |
0 | Do knee injuries have long-term consequences for isometric and dynamic muscle strength? | AMP (Acute Meniscal Pathology) | To ascertain whether decrements in knee extensor muscle strength persist years after a traumatic ligamentous or meniscal knee injury, with reference to (1) the type of muscle activity, (2) the dominance of injury, and (3) the time since injury, 36 subjects with previous unilateral knee injuries were assessed. Peak volu... |
1 | Comparison of outcomes following uncemented hemiarthroplasty and dynamic hip screw in the treatment of displaced subcapital hip fractures in patients aged greater than 70 years | Management of Hip Fractures in the Elderly | As health care costs increase, evaluating treatment methods in femoral neck fractures to determine the most effective treatment paradigm will become increasingly important. The current study compared two methods of treatment in similar cohorts of displaced femoral neck fractures. One hundred and twenty two patients wer... |
0 | Preoperative cognitive impairment and psychological distress in hospitalized elderly hip fracture patients | Hip Fx in the Elderly 2019 | We conducted a prospective study to evaluate the prevalence of cognitive impairment (CI) in elderly inpatients awaiting surgery for hip fracture, and to compare CI and normal cognition (NC) patients with respect to preoperative pain, fear, and anxiety. The study included patients who were older than 65 years when admit... |
0 | Does Hospital Consumer Assessment of Healthcare Providers and Systems survey correlate with traditional metrics of patient satisfaction? The challenge of measuring patient pain control and satisfaction in total joint replacement | AAHKS (8) Anesthetic Infiltration | Background: Medicare reimbursements have been tied to patient satisfaction measures. Despite these measures' influence on reimbursements, the relationship between pain management and patient satisfaction remains unclear. This study aims to evaluate the relationship between traditional patient perception of pain control... |
0 | Locking intramedullary nails and locking plates in the treatment of two-part proximal humeral surgical neck fractures: a prospective randomized trial with a minimum of three years of follow-up | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: locking intramedullary nails and locking plates specially designed for proximal humeral fractures are widely used. The purpose of our study was to compare the outcomes between these two types of implants in patients with a two-part surgical neck fracture. The advantages and shortcomings of each method were ... |
1 | Hypofractionated whole breast irradiation for patients with large breasts: a randomized trial comparing prone and supine positions | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND AND PURPOSE: Comparison of acute toxicity of whole-breast irradiation (WBI) in prone and supine positions.
MATERIALS AND METHODS: This non-blinded, randomized, prospective, mono-centric trial was undertaken between December 29, 2010, and December 12, 2012. One hundred patients with large breasts were randomi... |
0 | Women in post-trafficking services in Moldova: diagnostic interviews over two time periods to assess returning women's mental health | DoD PRF (Psychosocial RF) | BACKGROUND: Trafficking in women is a widespread human rights violation commonly associated with poor mental health. Yet, to date, no studies have used psychiatric diagnostic assessment to identify common forms of mental distress among survivors returning to their home country.
METHODS: A longitudinal study was conduct... |
0 | Osteoarthritis year in review 2014: imaging | AMP (Acute Meniscal Pathology) | PURPOSE: This narrative review covers original publications related to imaging in osteoarthritis (OA) published in English between April 2013 and March 2014. In vitro data, animal studies and studies with less than 20 observations were not included.
METHODS: To extract relevant studies, an extensive PubMed database sea... |
0 | Evaluation of the hemodynamics of the femoral head compared with the ilium, femoral neck and femoral intertrochanteric region in healthy adults: measurement with positron emission tomography (PET) | Management of Hip Fractures in the Elderly | OBJECTIVE: Non-traumatic osteonecrosis of the femoral head (ONF) is considered to be a disease that occurs primarily due to ischemia of the femoral head, while its etiology and pathology are not fully understood. It is therefore necessary to identify the characteristics of the hemodynamics of the femoral head. In this ... |
0 | The Swedish Centenarian Study: a multidisciplinary study of five consecutive cohorts at the age of 100 | Management of Hip Fractures in the Elderly | Centenarians born 1887-91, who lived in southern Sweden were asked to participate in this multidisciplinary study (N = 164). Of the survivors (N = 143), 70 percent agreed (N = 100). The purpose was to describe the population from physical, social, and psychological points of view; to characterize centenarians with vari... |
0 | The treatment of lacrimal gland prolapse in blepharoplasty | Upper Eyelid and Brow Surgery | Careful evaluation of the patient undergoing blepharoplasty should include an assessment of lacrimal gland position. Lacrimal gland prolapse, if uncorrected at the time of surgery, will result in lid asymmetry. The purpose of this article is to review the anatomy of the lacrimal gland, the causes of herniation, and the... |
0 | In Vivo Three-Dimensional Analysis of Malunited Forearm Diaphyseal Fractures with Forearm Rotational Restriction | Distal Radius Fractures | BACKGROUND: The aim of this study was to clarify the mechanisms of rotational restriction in malunited forearm diaphyseal fractures.
METHODS: We retrospectively analyzed the cases of 18 patients with malunited forearm diaphyseal fractures and rotational restriction. All patients underwent bilateral computed tomography ... |
0 | Spontaneous osteonecrosis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | Spontaneous osteonecrosis is a common cause of knee pain in older patients, but the diagnosis is often overlooked. Sudden knee pain in older women, with marked joint line tenderness and a decreased range of motion, should alert the physician to the diagnosis. Two to three weeks after the onset of symptoms, plain radiog... |
0 | The frequency of Deep Vein Thrombosis in patients with hip fractures | Hip Fx in the Elderly 2019 | OBJECTIVE: To find out the frequency of deep vein thrombosis in hip fracture patients.
Methods: The prospective, cross-sectional study Was conducted at Indus Hospital, Karachi, from November 2016 to September 2017, and comprised patients with hip fractures who were scanned for the presence of deep vein thrombosis on bo... |
0 | Diagnosis of prosthetic joint infection by use of PCR-electrospray ionization mass spectrometry | PJI DX Updated Search | We compared PCR-electrospray ionization mass spectrometry (PCR-ESI/MS) to culture using sonicate fluid from 431 subjects with explanted knee (n = 270) or hip (n = 161) prostheses. Of these, 152 and 279 subjects had prosthetic joint infection (PJI) and aseptic failure, respectively. The sensitivities for detecting PJI w... |
0 | Distal Radius Fracture Fixation Devices and Their Radiographs | Distal Radius Fractures | Background: Distal radius fractures are among the most common fractures encountered in orthopedic practices. If treated operatively, most implants are retained after the fracture heals unless there is hardware failure, limitation of wrist motion, pain, infection, tendon rupture, or tenosynovitis. Complications have bee... |
0 | Malignant Adenomyoepithelioma of the Breast:A Case with Distant Metastases | MSTS 2018 - Femur Mets and MM | Adenomyoepithelioma is thought to be a low-grade malignancy, and cases showing malignant behavior are rare. A massive breast tumor with skin invasion in a 60-year-old woman was diagnosed as malignant adenomyoepithelioma. Despite the tumor size and skin invasion, noaxillary lymph node metastases were detected. Light mic... |
0 | Proximal femoral fractures in the elderly: pathogenesis, sequelae, interventions | Management of Hip Fractures in the Elderly | Hip fractures are a health problem of paramount importance for the individual and society. They are associated with a sharp increase of the incidence of immobility, dependency, nursing home placement, and death. In Germany, more than 100,000 elderly suffer a hip fracture every year. 90% of fractures of the proximal fem... |
0 | Prosthetic knee replacement after resection of a malignant tumor of the distal part of the femur: Medium to long-term results | MSTS 2018 - Femur Mets and MM | We evaluated the medium to long-term results of treatment with a custom prosthetic knee replacement after wide resection of a primary malignant tumor of the distal part of the femur in forty consecutive patients. The duration of follow-up ranged from five to seventeen years (median, eight years). At the time of the lat... |
0 | Ultrasound-guided saphenous nerve block is an effective technique for perioperative analgesia in ambulatory arthroscopic surgery of the internal knee compartment | AMP (Acute Meniscal Pathology) | OBJECTIVES: Arthroscopic knee surgery is a minimally invasive technique with moderate pain during the first 24h. Our main objective was to evaluate the efficacy of ultrasound guided saphenous nerve block as a method of pain control intraoperatively and postoperatively for this surgery.
MATERIAL AND METHODS: A prospecti... |
1 | Intentional Weight Loss in Overweight and Obese Patients With Knee Osteoarthritis: Is More Better? | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine the dose response effect of weight loss on clinical and mechanistic outcomes in overweight and obese adults with knee osteoarthritis (OA).
METHODS: This is a secondary analysis of the diet-induced weight loss only (D) and diet-induced weight loss plus exercise (D + E) groups in the Intensive Die... |
0 | Arthroscopic Fixation of Knee Femoral Condyle Osteochondritis Dissecans Fragment With Bone Marrow Aspirate Concentrate | Osteochondritis Dissecans 2020 Review | This article reviews a technique for arthroscopic fixation of an osteochondritis dissecans fragment with bone marrow aspirate concentrate augmentation. This technique involves safe harvest of bone marrow arthroscopically from the intercondylar notch, proper preparation and debridement of the parent bone, reduction of t... |
0 | Effect of Galbanum oil on pain of the knee arthrosis | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Intervention 1, topical Galbanum oil/3 time a day, Acetaminophen 500 mg/ if needed, Quadriceps femoris exercise/ 3 time a day for 4 weeks. Sixty grams of Galbanum ointment given to each patient. Each gram contains 8.5 mg 1, 8 cineole and created by traditional medicine specialist. Intervention 1: Interven... |
0 | Comparing outcomes of medial parapatellar and subvastus approaches in total knee arthroplasty: a randomized controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | The medial parapatellar (MP) approach in total knee arthroplasty is more common, but the subvastus (SV) approach is less insulting to the quadriceps. Whether the SV approach affords better outcomes was investigated using 90 participants with knee osteoarthritis, randomized to receive either SV or MP approaches and foll... |
0 | The effect of pregabalin and s-ketamine in total knee arthroplasty patients: A randomized trial | AAHKS (8) Anesthetic Infiltration | Background and Aims: Pain reduction is important for rehabilitation after total knee arthroplasty. Intra- and peri-articular infiltration with local anesthetics may be an alternative to commonly used locoregional techniques. Adding pregabalin orally and s-ketamine intravenously may further reduce postoperative pain. Ma... |
0 | Differences in Clinical Pain and Experimental Pain Sensitivity Between Asian Americans and Whites With Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Ethnicity has been associated with clinical and experimental pain responses. Whereas ethnic disparities in pain in other minority groups compared with whites are well described, pain in Asian Americans remains poorly understood. The purpose of this study was to characterize differences in clinical pain inten... |
1 | Efficacy of Liposomal Bupivacaine Compared with Multimodal Periarticular Injections for Postoperative Pain Control following Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | Single-dose long-acting periarticular anesthetics have been shown to be an effective method of postoperative analgesia in total knee arthroplasty (TKA). This study retrospectively compares the efficacy of multimodal periarticular injection consisting of a combination of ropivacaine, duramorph, epinephrine, and toradol ... |
0 | Characterization of adipose tissue for autologous fat grafting | Panniculectomy & Abdominoplasty CPG | Fat grafting is a common procedure in aesthetic and reconstructive plastic surgery, but variable graft retention limits its utility. Unpredictable clinical outcomes with fat grafting can be explained in part by the lack of standardized protocols for harvesting, processing, and transplanting adipose tissue (AT). Histori... |
0 | Electrophysiological evaluation of the incidence of Martin-Gruber anastomosis in healthy subjects | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The Martin - Gruber Anastomosis (MGA) is probably the most well known of the anastomotic anomalies that occur at various levels between the median and ulnar nerves. It is formed by motor axons from the median nerve or its branch anterior interosseous nerve that cross in the upper forearm to join the ulnar nerve. The pu... |
0 | Neuro-optometric facilitation of vision recovery after acquired brain injury | Upper Eyelid and Brow Surgery | Visual field loss following brain injury often impairs the individual's rehabilitation, function and safety. Such impairments prevent individuals from returning to productive lifestyles. A previous article documents outcomes that measure increased awareness for patients suffering visual field loss. This research invest... |
1 | Ipsilateral talar and calcaneal fractures: A retrospective review of complications and sequelae | DoD SSI (Surgical Site Infections) | Background: Ipsilateral talar and calcaneal fractures represent a rare combination injury that has only recently been reported in the literature with small case series. Objective: To identify the commonly observed fracture patterns, complications, and outcomes of a consecutive series of patients with ipsilateral talar ... |
0 | Distal-third diaphyseal fractures of the humerus: choice of approach and surgical treatment | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: Distal-third diaphyseal fractures of the humerus are often hard to treat due to location and pattern of the fractures, radial nerve injury, and quality of bone and age of patients. The aim of this retrospective study is to propose the best approach and the best surgical technique according to the pattern of ex... |
0 | Role of Mesenchymal Stem Cells and Their Paracrine Mediators in Macrophage Polarization: An Approach to Reduce Inflammation in Osteoarthritis | AMP (Acute Meniscal Pathology) | Osteoarthritis (OA) is a low-grade inflammatory disorder of the joints that causes deterioration of the cartilage, bone remodeling, formation of osteophytes, meniscal damage, and synovial inflammation (synovitis). The synovium is the primary site of inflammation in OA and is frequently characterized by hyperplasia of t... |
0 | Detection of right heart emboli by transesophageal echocardiography in cement implantation syndrome in an elderly patient | Management of Hip Fractures in the Elderly | Femoral fractures are common and lethal among elderly patients. The elderly suffer more perioperative risks because of their complicated medical conditions and poor physical reserves. During cemented arthroplasty surgery in the elderly, unstable hemodynamic changes are frequently noted when the cement and prosthesis ar... |
0 | Clinical outcome of revision meniscal allograft transplantation: Minimum 2-year follow-up | PJI DX Updated Search | Purpose: The purpose of this study was to assess the clinical and radiographic outcomes after revision meniscal allograft transplantation (RMAT). Methods: Eleven patients underwent RMAT performed by the senior author (B.J.C.). These patients were studied prospectively and completed standardized outcome surveys (includi... |
0 | In vivo biofilm formation on different dental ceramics | PJI DX Updated Search | OBJECTIVES: To investigate the formation of oral biofilm on various dental ceramics in vivo. METHOD AND MATERIALS: Five different ceramic materials were included: a veneering glass- ceramic, a lithium disilicate glass-ceramic, a yttrium-stabilized zirconia (Y-TZP), a hot isostatically pressed (HIP) Y-TZP ceramic, and a... |
0 | Effectiveness of trauma-focused psychological therapies compared to usual postnatal care for treating post-traumatic stress symptoms in women following traumatic birth: a systematic review protocol | DoD PRF (Psychosocial RF) | INTRODUCTION: Maternal mental health has been largely neglected in the literature. Women, however, may be vulnerable to developing post-traumatic stress symptoms or post-traumatic stress disorder (PTSD), following traumatic birth. In turn, this may affect their capacity for child rearing and ability to form a secure bo... |
1 | Early versus late flap coverage for open tibial fractures | DoD SSI (Surgical Site Infections) | PURPOSE: To compare early versus late flap coverage for open tibial fractures.
METHODS: Medical records of 83 men and 6 women (mean age, 38 years) who underwent fixation for open tibial fractures (Gustilo grades IIIB and IIIC) followed by flap coverage within (n=30) or after (n=59) 72 hours were reviewed. All fractures... |
1 | Limited open reduction and internal fixation of displaced intra-articular fractures of the calcaneum | DoD SSI (Surgical Site Infections) | The extended lateral L-shaped approach for the treatment of displaced intra-articular fractures of the calcaneum may be complicated by wound infection, haematoma, dehiscence and injury to the sural nerve. In an effort to reduce the risk of problems with wound healing a technique was developed that combined open reducti... |
0 | Articular cartilage of knee: normal patterns at MR imaging that mimic disease in healthy subjects and patients with osteoarthritis | AMP (Acute Meniscal Pathology) | PURPOSE: To evaluate normal magnetic resonance (MR) imaging findings that may mimic articular cartilage diseases in healthy subjects and patients with osteoarthritis of the knee.
MATERIALS AND METHODS: Sagittal fat-suppressed intermediate-weighted fast spin-echo (FSE) (repetition time msec/echo time [TE] msec, 4,000/13... |
0 | Current perception threshold screening for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Screening for the onset of carpal tunnel syndrome (CTS), which is associated with excess ergonomic stresses of the wrist and hand, is a major concern in occupational medicine. CTS questionnaires, physical examinations, and quantitative sensory function determination through neuroselective current perception threshold (... |
0 | Current role and application of teriparatide in fracture healing of osteoporotic patients: A systematic review | Distal Radius Fractures | Background: The use of osteoanabolic agents to facilitate fracture healing has been of heightened interest to the field of orthopaedic trauma. This study aimed to evaluate the evidence of teriparatide for fracture healing and functional recovery in osteoporotic patients. Methods: We performed a literature search in Pub... |
0 | Contact Pressure between Digital Flexors and Plates for Distal Radius Approaches | Distal Radius Fractures | Background Flexor tendon irritation or rupture following open reduction and volar plate fixation of distal radius fractures can cause significant morbidity and necessitate additional surgical intervention. Objectives To compare the impact of the extended flexor carpi radialis (e-FCR) and standard flexor carpi radialis ... |
0 | Variation in the efficacy of hormone replacement therapy in the prevention of hip fracture | Management of Hip Fractures in the Elderly | Use of postmenopausal hormone replacement therapy (HRT) has been associated with a reduced risk of osteoporotic fractures. However, it is uncertain whether this risk reduction is modified by other risk factors for hip fracture. In a population-based case-control study in Sweden, we investigated the association between ... |
0 | Pathophysiology of myeloma bone disease | MSTS 2018 - Femur Mets and MM | Multiple myeloma is a tumor of terminally differentiated plasma cells that home to and expand in the bone marrow. It is the second most common hematologic malignancy, with approximately 16,000 new cases per year, and accounts for an estimated 11,000 deaths in the USA. It is the most common cancer to metastasize to bone... |
0 | Compartment syndrome of the hand. Etiology, diagnosis, and treatment | DOD - Acute Comp Syndrome CPG | Isolated acute compartment syndrome of the hand is relatively rare phenomenon, Acute compartment syndrome occurs when the tissue pressure within an enclosed space is elevated to the extent that there is decreased blood flow within the space, decreasing tissue oxygenation and impairing metabolic function. In this review... |
0 | Autologous Osteochondral Transplantation to Treat Patellar Chondral Injuries | Osteochondritis Dissecans 2020 Review | INTRODUCTION: Autologous osteochondral transplantation for the treatment of patellar chondral injuries is a single-stage procedure through a single surgical approach that allows replacement of the chondral injury with an osteochondral plug that has the same cartilaginous hyaline characteristics as the site had before t... |
0 | Core curriculum illustration: pediatric buckle fracture of the distal radius | Distal Radius Fractures | This is the 38th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, pl... |
0 | Comparison of hip and knee muscle moments in subjects with and without knee pain | OAK 3 - Non-arthroplasty tx of OAK | Elderly subjects with and without knee pain walked at a comfortable pace during gait analysis. Comparison of peak hip and knee internal extensor generalized muscle moments (GMMs) during loading response was made between groups. Walking velocity, peak hip internal extensor GMM, and knee range of motion (ROM) were signif... |
0 | A prospective comparative study of pin site infection in pediatric supracondylar humeral fractures: daily pin care vs. no pin care | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: Pin site infection is a critical issue for patients' safety in skeletal fixation using percutaneous pins or wires. Closed reduction and percutaneous Kirschner wires fixation are the mainstay of treatment in pediatric supracondylar humeral fractures. Little information is available in the literature about ... |
0 | A five to seven years follow-up of 102 cementless Synatomic knee arthroplasties | Surgical Management of Osteoarthritis of the Knee CPG | One hundred and two cementless Synatomic total knee prostheses were implanted in our hospital between January 1987 and October 1989. All knees were retrospectively followed up for five to seven years and examined for both pre- and postoperative clinical or radiological factors indicating aseptic loosening. The overall ... |
0 | Unstable fracture-dislocations of the forearm (Monteggia and Galeazzi lesions) | Distal Radius Fractures | Forty-nine Monteggia and forty-seven Galeazzi lesions were treated over a twenty-five-year period. I used Bado's criteria to evaluate the results in the Monteggia lesions. In all of the children in the series either closed or open reduction yielded good results, while the results of treatment of the Monteggia fractures... |
0 | Supartz (Sodium Hyaluronate) for the Treatment of Knee Osteoarthritis: A Review of Efficacy and Safety | OAK 3 - Non-arthroplasty tx of OAK | As concerns about the safety of systemic oral pharmacologic treatments for knee osteoarthritis (OA) mount, clinicians have increased the use of intra-articular hyaluronic acid (IA-HA) in managing mild-to-moderate knee OA. Supartz (sodium hyaluronate; Seikagaku Corporation, Tokyo, Japan) is the first IA-HA product to be... |
0 | Corticosteroids and hip fracture risk in elderly respiratory patients: EPIC-Greece cohort | Hip Fx in the Elderly 2019 | INTRODUCTION: In an ageing population the prevalence of osteoporosis and chronic respiratory diseases is expected to increase in the near future. Interestingly, several forms of corticosteroids, drugs implicated in osteoporosis pathogenesis, are prescribed to respiratory patients without taking into consideration their... |
0 | Sequestered naltrexone in sustained release morphine or oxycodone-a way to inhibit illicit use? | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Under the growing concern about prescription opioid misuse, abuse, addiction, tampering and diversion, stakeholders (e.g, governments, pharmaceutical companies and health care providers) are developing opioid formulations that they hope are less attractive to those seeking to misuse or abuse pain medicati... |
1 | Relationship between the duration and severity of symptoms and the outcome of carpal tunnel surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: There is no consensus regarding the prognostic value of preoperative symptom severity and duration for determining the anticipated results of carpal tunnel release. Some studies show a detrimental influence of symptom duration and severity on outcomes; others have found no effect. To study these contradictions... |
0 | Handicap after acute whiplash injury: A 1-year prospective study of risk factors | DoD PRF (Psychosocial RF) | Examined the sensitivity and specificity of 5 possible predictors for handicap following a whiplash injury. In a 1-yr prospective study of 141 persons with acute lash injury and 40 controls who had acute ankle distortion, pain intensity, number of nonpainful neurologic complaints, cervical mobility, workload during ext... |
0 | Reliability and clinical importance of teardrop angle measurement in intra-articular distal radius fracture | Distal Radius Fractures | PURPOSE: The teardrop angle (TDA) is a newly characterized radiographic parameter that some authors propose as an indicator of articular incongruity of the lunate facet. The purposes of this study were to investigate intra-observer and interobserver reliability of the measurements of the TDA and to determine whether th... |
0 | Evaluation of the Efficacy of a Turmeric Extract (Arantal®) in Patients With Osteoarthritis of the Knee (Gonarthrosis) | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study is to determine the efficacy and the tolerance on 15 days of a turmeric extract (Arantal®) on pain related to gonarthrosis. |
0 | A case of pulmonary dialysis-related amyloidosis with reticular opacity of the lung in a patient undergoing long-term dialysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Dialysis-related amyloidosis (DRA) is one of the most important complications in long-term dialysis patients. Pulmonary involvement in patients with DRA has been rarely described, and lung radiographic findings have not yet been reported. The most common chronic lung disease process in chronic dialysis patients is inte... |
0 | Two-Stage Revision for Infected Total Knee Arthroplasty: Based on Autoclaving the Recycled Femoral Component and Intraoperative Molding Using Antibiotic-Impregnated Cement on the Tibial Side | PJI DX Updated Search | BACKGROUND: The purpose of this study was to determine the degree of infection control and postoperative function for new articulating metal-on-cement spacer. METHODS: A retrospective study of 19 patients (20 cases), who underwent a two-stage revision arthroplasty using mobile cement prosthesis, were followed for a min... |
0 | Risk factors for retinal redetachment after silicone oil removal: A systematic review and meta-analysis | DoD PRF (Psychosocial RF) | BACKGROUND AND OBJECTIVE: This systematic review and meta-analysis was made to measure risk factors for retinal redetachment (re-RD) after silicone oil removal (SOR) in a quantitative method. PATIENTS AND METHODS: A comprehensive literature review relating to risk factors for re-RD after SOR was conducted before March ... |
0 | Coverage of a carpal tunnel wound dehiscence with the abductor digiti minimi muscle flap | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A 41-year-old man who was taking 60 mg of prednisone a day for dermatomyositis developed a wound dehiscence following a carpal tunnel release and flexor tenosynovectomy. Coverage of the exposed carpal contents was provided by using the abductor digiti minimi as a local transposition flap |
0 | Fracture of femoral prostheses in total hip replacement. A clinical study | Management of Hip Fractures in the Elderly | The clinical features are presented of 17 fractured Charnley femoral prostheses occurring over a period of about ten years and arising from some 6,500 operations, with more than a 3 1/2 year follow-up. The patients especially at risk are males weighing over 170 lb (75.5 kg) and from these is an obvious need for a heavi... |
0 | Anterior knee pain and evidence of osteoarthritis of the patellofemoral joint should not be considered contraindications to mobile-bearing unicompartmental knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Aims: It is not clear whether anterior knee pain and osteoarthritis (OA) of the patellofemoral joint (PFJ) are contraindications to medial unicompartmental knee arthroplasty (UKA). Our aim was to investigate the long-term outcome of a consecutive series of patients, some of whom had anterior knee pain and P FJ OA manag... |
0 | Free composite serratus anterior and rib flaps for tibial composite bone and soft-tissue defect | DoD LSA (Limb Salvage vs Amputation) | Open fracture in the lower extremity often involves composite bone and soft-tissue defects. For patients with extensive segmental bone defects, vascularized fibular transfers can be utilized and are generally accepted as one of the best options for reconstruction of intercalary defects. In some cases, either bilateral ... |
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